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PETER RYAN BOUDREAU MSW LSW NPI 1942740808


NPI Information

NPI: 1942740808
Provider Name: PETER RYAN BOUDREAU, MSW, LSW
Classification: Social Worker - 104100000X
Entity Type: Individual

PECOS Registration: Yes

Address:
5400 EDALBERT DR
CINCINNATI, OH
ZIP 45239
Phone: (513) 741-3100
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Peter Ryan Boudreau, MSW, LSW is a social worker in Cincinnati, OH. The provider is a social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. Peter Ryan Boudreau, MSW, LSW NPI is 1942740808. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5400 EDALBERT DR
CINCINNATI, OH
ZIP 45239-604
Phone: (513) 741-3100
Fax: (513) 741-5686

The NPI 1942740808 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 2/26/2017 and was last updated on 2/26/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1104100000XSocial WorkerS.1601232OHIOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.